JAMES ANDREW JACKSON, DDS, PLLC
NPI: 1417339185
· OLIVE BRANCH, MS 38654
· 122300000X
$168.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
148 |
$168.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
|
36 |
35 |
$96.00 |
| D0120 |
|
38 |
37 |
$72.00 |
| D1120 |
|
43 |
43 |
$0.00 |
| D1206 |
|
31 |
31 |
$0.00 |